Individual provider Active NPI

Sharon Jill Spurlin, D.M.D.

  • General Practice Dentistry
  • Mount Holly, NC
National Provider Identifier
1114081932
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6388 Issued in NC
Practice address
549 Highland St
Mount Holly, NC 28120-2188
Phone
(704) 822-0007
Fax
(704) 822-2008
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6388 NC Primary

Addresses

Primary practice location

549 Highland St
Mount Holly, NC 28120-2188

Mailing address

549 Highland St
P.O. Box 486
Mount Holly, NC 28120-2188
Phone (704) 822-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6388NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Homesley, DMD, PLLC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114081932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 HIGHLAND ST",
            "address_2": "P.O. BOX 486",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281202188",
            "telephone_number": "704-822-0007",
            "fax_number": "704-822-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 HIGHLAND ST",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281202188",
            "telephone_number": "704-822-0007",
            "fax_number": "704-822-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURLIN",
        "first_name": "SHARON",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.